{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,25]],"date-time":"2026-08-25T23:17:48Z","timestamp":1787699868170,"version":"build-2784847793"},"reference-count":88,"publisher":"Georg Thieme Verlag KG","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Psychother Psychosom Med Psychol"],"abstract":"<jats:title>Zusammenfassung<\/jats:title>\n                  <jats:p>Die zunehmende Implementierung KI-gest\u00fctzter Systeme in der psychischen\n                    Gesundheitsversorgung wirft komplexe ethische, klinische und gesellschaftliche\n                    Fragen auf. Dieses Manuskript untersucht Chancen, Risiken und Grenzen solcher\n                    Technologien, wobei sowohl relationale Prozessfaktoren als auch klinische\n                    Outcomes und Versorgungsrealit\u00e4ten ber\u00fccksichtigt werden. KI-gest\u00fctzte Systeme\n                    k\u00f6nnen Wartezeiten \u00fcberbr\u00fccken, niedrigschwellige psychoedukative Interventionen\n                    anbieten, Motivation, Symptomstabilisierung und Therapieorientierung f\u00f6rdern\n                    sowie unterversorgten oder schwer erreichbaren Patient:innen den Zugang\n                    erleichtern. Sie bieten flexible, orts- und zeitunabh\u00e4ngige Unterst\u00fctzung,\n                    st\u00e4rken Selbstwirksamkeit und k\u00f6nnen Stigmabarrieren reduzieren. Gleichzeitig\n                    bestehen Risiken: m\u00f6gliche Einschr\u00e4nkungen der therapeutischen Allianz zwischen\n                    Patient:innen und Therapeut:innen, parasoziale Substitution, soziale Isolation,\n                    eine m\u00f6gliche Zwei-Klassen-Struktur im Gesundheitswesen und ethische Fragen bei\n                    unvorhergesehenen Verschlechterungen. Evidenzbasierte Studien, darunter\n                    randomisierte kontrollierte Studien und Metaanalysen, zeigen moderate, aber\n                    konsistente Verbesserungen von Depressions-, Angst- und Einsamkeitssymptomen\n                    sowie positive Effekte in ressourcenarmen Settings und Wartelistenkontexten. Das\n                    Manuskript betont, dass die Wirksamkeit von KI-Systemen nur im Zusammenspiel mit\n                    menschlicher therapeutischer Begleitung, ethischer Reflexion und struktureller\n                    Implementationsbedingungen voll zur Geltung kommt. Ziel ist eine differenzierte,\n                    evidenzbasierte und ethisch reflektierte Integration, bei der KI-Systeme die\n                    therapeutische Beziehung erg\u00e4nzen, nicht ersetzen, und so\n                    Versorgungsgerechtigkeit, Beziehungsqualit\u00e4t und nachhaltige gesundheitliche\n                    Outcomes gleicherma\u00dfen gesichert werden.<\/jats:p>","DOI":"10.1055\/a-2928-0255","type":"journal-article","created":{"date-parts":[[2026,8,25]],"date-time":"2026-08-25T22:32:40Z","timestamp":1787697160000},"source":"Crossref","is-referenced-by-count":0,"title":["KI-gest\u00fctzte Systeme im Kontext psychischer Gesundheitsversorgung:\n                    Digitale Innovation oder Verlust menschlicher F\u00fcrsorge?"],"prefix":"10.1055","author":[{"given":"Andreas","family":"Posa","sequence":"additional","affiliation":[{"name":"Klinik und Poliklinik f\u00fcr Radiologie, Martin-Luther-Universit\u00e4t\n                    Halle-Wittenberg, Halle (Saale), Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"194","published-online":{"date-parts":[[2026,8,25]]},"reference":[{"key":"ref3","first-page":"1","article-title":"Beyond Doomsday Fears: Why We Need to Consider the Potential Harms of AI\n                    Psychotherapy","author":"\u015e Tekin","year":"2025","journal-title":"Am J Bioeth"},{"key":"ref4","doi-asserted-by":"crossref","first-page":"16","DOI":"10.1176\/appi.focus.20190028","article-title":"Challenges and opportunities to meet the mental health needs of underserved and\n                    disenfranchised populations in the United States","volume":"18","author":"F Mongelli","year":"2020","journal-title":"Focus"},{"key":"ref5","doi-asserted-by":"crossref","first-page":"5","DOI":"10.1007\/s11920-017-0780-z","article-title":"Challenges and opportunities in global mental health: a research-to-practice\n                    perspective","volume":"19","author":"M L 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